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ICD-10-CM R94.128: Abnormal results of other function studies of ear and other special senses

R94.128 is the billable ICD-10-CM code for abnormal results of other function studies of ear and other special senses, in category R94 (Abnormal results of function studies) of the Abnormal findings on diagnostic imaging and in function studies, without diagnosis section. As a principal diagnosis it groups to MS-DRG 091 Other Disorders of Nervous System with MCC, MS-DRG 092 Other Disorders of Nervous System with CC, MS-DRG 093 Other Disorders of Nervous System without CC/MCC (MDC 01 MDC 01: Diseases and Disorders of the Nervous System). 2 LCD billing and coding articles list it as covered.

Compiled from CMS files by the QuickIntell RCM Editorial Team · Data effective · Method: reference methodology · Report a data correction

Data currency: ICD-10-CM code descriptions: FY2027 (effective October 1, 2026); IPPS Table 5 (MS-DRG weights): v44 FY2027 (final rule + CN3) (effective October 1, 2026); ICD-10-CM to HCC mapping: PY2027 initial ICD-10-CM mappings (dates of service 2026) (payment year 2027); Medicare Coverage Database billing and coding articles: MCD release October 8, 2026 (effective October 4, 2026). Next CMS release: FY2028 code files, effective October 1, 2027 for the ICD-10-CM code descriptions; FY2028 final rule (August 2027), effective October 1, 2027; an April 1 interim grouper update when CMS issues one for the IPPS Table 5 (MS-DRG weights); PY2028 advance notice (February 2027) and the PY2027 midyear final mapping (spring 2027) for the ICD-10-CM to HCC mapping; weekly, every Thursday for the Medicare Coverage Database billing and coding articles.

Code
R94.128
billable FY2027 ICD-10-CM code
Category
R94 Abnormal results of function studies
Chapter
18: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
CC/MCC (MS-DRG v44)
Neither
CMS-HCC V28
Not mapped
POA reporting
Required

Tabular list notes for R94.128

The tabular list has no notes on R94.128 itself; the notes below apply from its parent headings.

Inherited from R94 (Abnormal results of function studies)

Includes
  • abnormal results of radionuclide [radioisotope] uptake studies
  • abnormal results of scintigraphy

MS-DRG grouping when R94.128 is the principal diagnosis

MS-DRG v44 groups for R94.128 as principal diagnosis
MDCMS-DRGs
01 MDC 01: Diseases and Disorders of the Nervous System091092093

The final group also depends on procedures, secondary diagnoses and discharge status; the MS-DRG lookup for R94.128 shows the full grouping logic.

CC/MCC status and inpatient edits

R94.128 is neither a CC nor an MCC under MS-DRG v44, so as a secondary diagnosis it does not raise the MS-DRG severity level. Check R94.128 against a principal diagnosis.

  • Present on admission: a POA indicator is required on inpatient claims.

CMS-HCC V28 risk adjustment

R94.128 does not map to a payment HCC in the PY2027 CMS-HCC V28 model, so on its own it does not change a Medicare Advantage risk score.

LCD billing and coding articles that list R94.128

2 current Medicare billing and coding articles list R94.128 among the diagnoses that support medical necessity for the services they cover.

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Frequently asked questions

What does ICD-10-CM R94.128 mean?

R94.128 means abnormal results of other function studies of ear and other special senses. It is one of 23 billable codes under R94, abnormal results of function studies.

Which MS-DRG does R94.128 group to?

As the principal diagnosis, R94.128 groups to MS-DRG 091 Other Disorders of Nervous System with MCC, MS-DRG 092 Other Disorders of Nervous System with CC, MS-DRG 093 Other Disorders of Nervous System without CC/MCC (MDC 01 MDC 01: Diseases and Disorders of the Nervous System) under MS-DRG v44, before procedures and secondary diagnoses are applied.

Sources

Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.

Disclaimer

The descriptor and notes are reproduced from the FY2027 ICD-10-CM files; MS-DRG, CC/MCC and HCC facts come from the CMS FY2027 and PY2027 tables. Code from the medical record and the ICD-10-CM Official Guidelines. Not legal, clinical or billing advice.

Found a figure that does not match the CMS file? Report a data correction with the CMS file and the value you expected; the request reaches the editorial team through the contact form.